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J Neurol Surg A Cent Eur Neurosurg 2012; 73(04): 199-203
DOI: 10.1055/s-0032-1304217
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Core Needle Biopsy of Spinal Lesions under CT Guidance: Review of 79 Cases

Ioannis Kaltsikis
1   Department of Radiology, Hyppokratio Hospital, Thessaloniki, Greece
,
Danai Chourmouzi
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Kostas Drevelegas
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Stamatia Potsi
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Anestis Moumtzouoglou
2   Department of Radiology, Interbalcan Medical Center, Thessaloniki, Greece
,
Antonios Drevelegas
3   Department of Radiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
› Institutsangaben
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Publikationsverlauf

09. April 2011

25. November 2011

Publikationsdatum:
14. Mai 2012 (online)

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Abstract

The authors report the results of a retrospective study about computed tomography (CT)-guided percutaneous vertebral biopsies in 79 cases (44 males and 35 females, aged from 6 to 84 years old). Five biopsies were performed at the cervical level, 31 at the thoracic, 30 at the lumbar, and 13 at the sacrum. A diagnosis was obtained in 75 out of the 79 patients. Diagnostic yield was 95%, and diagnostic accuracy was 97.3%. Core needle biopsy under CT guidance for spinal lesions is a fast, relatively simple, minimally invasive, and low-cost method, with high levels of diagnostic accuracy and few complications. It plays a major role in the correct diagnosis and therapeutic planning. CT guidance allows safe and accurate biopsy of osseous lesions throughout the spine, obviating invasive open biopsy in most cases.

Keywords

spinal lesion - core needle biopsy - CT guidance
 

  • References

  • 1 Dupuy DE, Rosenberg AE, Punyaratabandhu T, Tan MH, Mankin HJ. Accuracy of CT-guided needle biopsy of musculoskeletal neoplasms. AJR Am J Roentgenol 1998; 171 (3) 759-762
    CrossrefPubMedGoogle Scholar
  • 2 Fourney DR, Gokaslan ZL. Current management of sacral chordoma. Neurosurg Focus 2003; 15 (2) E9
    PubMedGoogle Scholar
  • 3 Georgy BA. Metastatic spinal lesions: state-of-the-art treatment options and future trends. AJNR Am J Neuroradiol 2008; 29 (9) 1605-1611
    CrossrefPubMedGoogle Scholar
  • 4 Gouliouris T, Aliyu SH, Brown NM. Spondylodiscitis: update on diagnosis and management. J Antimicrob Chemother 2010; 65 (Suppl 3) iii11-iii24
    CrossrefPubMedGoogle Scholar
  • 5 Harrington KD. Metastatic disease of the spine. J Bone Joint Surg Am 1986; 68 (7) 1110-1115
    CrossrefPubMedGoogle Scholar
  • 6 Heyer CM, Al-Hadari A, Mueller KM, Stachon A, Nicolas V. Effectiveness of CT-guided percutaneous biopsies of the spine: an analysis of 202 examinations. Acad Radiol 2008; 15 (7) 901-911
    CrossrefPubMedGoogle Scholar
  • 7 Issakov J, Flusser G, Kollender Y, Merimsky O, Lifschitz-Mercer B, Meller I. Computed tomography-guided core needle biopsy for bone and soft tissue tumors. Isr Med Assoc J 2003; 5 (1) 28-30
    PubMedGoogle Scholar
  • 8 Kattapuram SV, Rosenthal DI. Percutaneous biopsy of the cervical spine using CT guidance. AJR Am J Roentgenol 1987; 149 (3) 539-541
    CrossrefPubMedGoogle Scholar
  • 9 Kattapuram SV, Rosenthal DI. Percutaneous biopsy of skeletal lesions. AJR Am J Roentgenol 1991; 157 (5) 935-942
    CrossrefPubMedGoogle Scholar
  • 10 Kim YH, Yoon JH, Cho WH , et al. CT-guided percutaneous biopsy of the spine: transpedicular approach. J Korean Radiol Soc 1998; 39 (2) 395-398
    PubMedGoogle Scholar
  • 11 Klimo Jr P, Schmidt MH. Surgical management of spinal metastases. Oncologist 2004; 9 (2) 188-196
    CrossrefPubMedGoogle Scholar
  • 12 Kornblum MB, Wesolowski DP, Fischgrund JS, Herkowitz HN. Computed tomography-guided biopsy of the spine. A review of 103 patients. Spine 1998; 23 (1) 81-85
    CrossrefPubMedGoogle Scholar
  • 13 McCarthy EF. CT-guided needle biopsies of bone and soft tissue tumors: a pathologist's perspective. Skeletal Radiol 2007; 36 (3) 181-182
    CrossrefPubMedGoogle Scholar
  • 14 Michel SC, Pfirrmann CW, Boos N, Hodler J. CT-guided core biopsy of subchondral bone and intervertebral space in suspected spondylodiskitis. AJR Am J Roentgenol 2006; 186 (4) 977-980
    CrossrefPubMedGoogle Scholar
  • 15 Mitsuyoshi G, Naito N, Kawai A , et al. Accurate diagnosis of musculoskeletal lesions by core needle biopsy. J Surg Oncol 2006; 94 (1) 21-27
    CrossrefPubMedGoogle Scholar
  • 16 Omarini LP, Garcia J. [CT-guided percutaneous puncture-biopsy of the spine. Review of 104 cases]. Schweiz Med Wochenschr 1993; 123 (46) 2191-2197
    PubMedGoogle Scholar
  • 17 Puri A, Shingade VU, Agarwal MG , et al. CT-guided percutaneous core needle biopsy in deep seated musculoskeletal lesions: a prospective study of 128 cases. Skeletal Radiol 2006; 35 (3) 138-143
    CrossrefPubMedGoogle Scholar
  • 18 Rimondi E, Staals EL, Errani C , et al. Percutaneous CT-guided biopsy of the spine: results of 430 biopsies. Eur Spine J 2008; 17 (7) 975-981
    CrossrefPubMedGoogle Scholar
  • 19 Schuler M, Zeile M, Pink D , et al. Incidence of bone metastases in GIST: a single center analysis of 307 patients with metastatic disease. 2008 ASCO Annual Meeting Proceedings (Post-Meeting Edition). J Clin Oncol 2008; 26 (155) abstr. 10565
    PubMedGoogle Scholar
  • 20 Sciubba DM, Petteys RJ, Garces-Ambrossi GL , et al. Diagnosis and management of sacral tumors. J Neurosurg Spine 2009; 10 (3) 244-256
    CrossrefPubMedGoogle Scholar
  • 21 Tsukushi S, Nishida Y, Yamada Y, Yoshida M, Ishiguro N. CT-guided needle biopsy for musculoskeletal lesions. Arch Orthop Trauma Surg 2010; 130 (5) 699-703
    CrossrefPubMedGoogle Scholar
  • 22 Wu JS, Goldsmith JD, Horwich PJ, Shetty SK, Hochman MG. Bone and soft-tissue lesions: what factors affect diagnostic yield of image-guided core-needle biopsy?. Radiology 2008; 248 (3) 962-970
    CrossrefPubMedGoogle Scholar